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目的:探讨妊娠晚期未足月胎膜早破的分娩方法与新生儿结局。方法:收治妊娠晚期产妇中发生未足月胎膜早破患者40例,作为观察组,同期选择一般资料与观察组相近且病历资料完整的足月胎膜未早破的孕妇40例作为对照组,观察两组产妇分娩与新生儿状况。结果:两组产妇与新生儿都无死亡情况,观察组采用剖宫产36例(90.0%),对照组采用剖宫产14例(35.0%),观察组的剖宫产率明显高于对照组(P<0.05)。观察组新生儿感染、新生儿窒息和颅内出血的发生率都明显高于对照组(P<0.05)。结论:妊娠晚期未足月胎膜早破常合并多种诱因,可导致产妇采用剖宫产,同时严重影响新生儿预后。
Objective: To investigate the method of delivery and neonatal outcome of preterm premature rupture of membranes in the third trimester of pregnancy. Methods: Forty pregnant women with incomplete premature rupture of membranes in the third trimester of pregnancy were enrolled as the observation group. Forty pregnant women with similar full-term fetal membranes without premature rupture whose general data and observation group were similar during the same period were selected as the control group , Observe the two groups of maternal delivery and neonatal conditions. Results: There were no deaths in both maternal and neonatal groups. Cesarean section was used in 36 cases (90.0%) in observation group and cesarean section in control group (14.0%). Cesarean section rate in observation group was significantly higher than that in control group Group (P <0.05). The incidence of neonatal infection, neonatal asphyxia and intracranial hemorrhage in the observation group were significantly higher than those in the control group (P <0.05). Conclusion: Uncompromised premature rupture of membranes in pregnancy is often combined with multiple causes, which can lead to cesarean section and seriously affect the prognosis of neonates.